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Spinal fusion, also called spondylodesis or spondylosyndesis, is a surgery performed by orthopaedic surgeons or neurosurgeons that joins two or more vertebrae. [1] This procedure can be performed at any level in the spine (cervical, thoracic, lumbar, or sacral) and prevents any movement between the fused vertebrae.
Cervical spinal nerve 4, also called C4, is a spinal nerve of the cervical segment. It originates from the spinal cord above the 4th cervical vertebra (C4). It contributes nerve fibers to the phrenic nerve , the motor nerve to the thoracoabdominal diaphragm .
Bone morphogenetic protein (rhBMP) should not be routinely used in any type of anterior cervical spine fusion, such as with anterior cervical discectomy and fusion. [2] [3] There are reports of this therapy causing swelling of soft tissue which in turn can cause life-threatening complications due to difficulty swallowing and pressure on the respiratory tract.
The vertebral column is often used as a marker of human anatomy. This includes: At C1, base of the nose and the hard palate; At C2, the teeth of a closed mouth; At C3, the mandible and hyoid bone; At C4, the common carotid artery bifurcates. From C4–5, the thyroid cartilage [10] From C6–7, the cricoid cartilage [10]
The brachial plexus is formed by the ventral rami of C5-C8-T1 spinal nerves, and lower and upper halves of C4 and T2 spinal nerves. The plexus extends toward the armpit. The ventral rami of C5 and C6 form upper trunk, the ventral ramus of C7 forms the middle trunk, and the ventral rami of C8 and T1 join to form the lower trunk of the brachial ...
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Neurologic signs result from severe angulation of the spine, narrowing of the spinal canal, instability of the spine, and luxation or fracture of the vertebrae. Signs include rear limb weakness or paralysis, urinary or fecal incontinence, and spinal pain. [5] Most cases of hemivertebrae have no or mild symptoms, so treatment is usually ...
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